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ChatGPT Health

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661–670 of 677 posts

Re: ChatGPT Health

#661

Here’s something: my chatGPT quietly assumed I had ADHD for around 9 months, up until October 2025. I don’t suffer from ADHD. I only found out through an answer that began “As you have ADHD..” I had it stop right there, and asked it to tell me exactly where it got this information; the date, the title of the chat, the exact moment it took this data on as an attribute of mine. It was unable to specify any of it, aside…

What did you expect when confronting it? It's a text autocomplete engine, it will spit out what you want, biased towards absolute politeness and sycophancy. It's like yelling at your toaster.

Re: ChatGPT Health

#662
post #465

Earlier quoted context omitted.

> Insurance companies completely dictate what she can and can't do, and frequently she is unable to do more in-depth, best-practice analysis because insurance won't pay for it. The distinction between "can't do" and "can't get paid for" seems to get lost a lot with medical providers. I'm not saying this is necessarily what's happening with your wife, but I've had it happen to me where someone says, "I can't do this t…

> The distinction between "can't do" and "can't get paid for" seems to get lost a lot with medical providers. I'm not saying this is necessarily what's happening with your wife, but I've had it happen to me where someone says, "I can't do this test. Your insurance won't pay for it," and then I ask what it costs and it's a few hundred or a couple thousand dollars and I say, "That's OK. I'll just pay for the test mysel…

This would be comical but for the years I did live in poverty. In what world does my being able to afford it now mean I've somehow always been well off?

This is ignorance, plain as.

Re: ChatGPT Health

#663

My uncle had an issue with his balance and slurred speech. Doctors claimed dementia and sent him home. It kept becoming worse and worse. Then one day I entered the symptoms in ChatGPT (or was it Gemini?) and asked it for the top 3 hypotheses. The first one was related to dementia. The second was something else (I forget the long name). I took all 3 to his primary care doc who had kept ignoring the problem, and asked…

I've heard a lot of such anecdotes. I'm not saying its ill-intentioned, but the skeptic in me is cautious that this is the type of reasoning which propels the anti-vax movement. I wish / hope the medical community will address stories like this before people lose trust in them entirely. How frequent are mis-diagnosis like this? How often is "user research" helping or hurting the process of getting good health outcome…

Every second doctor is a below average doctor. Some are outright idiots that just became doctors because their parents expected it of them. They somehow finished med school and now they sick at their job. Have you ever interacted with doctors? In a hospital rotation where you see a different one every week. And they all tell you entirely different things with absolute confidence of a prophet after looking at your file for 2 min and talking another 3?

Even good doctors have a real hard time convincing the bad doctors to do their job right. Never mind some random patient with a slightly less obvious diagnosis.

This is nothing like anti vax, because it is not implying a failing of medical science. It just states that enough doctors are bad enough at their job that user research is useful. To realize you need to go to a better doctor

Re: ChatGPT Health

#664

My uncle had an issue with his balance and slurred speech. Doctors claimed dementia and sent him home. It kept becoming worse and worse. Then one day I entered the symptoms in ChatGPT (or was it Gemini?) and asked it for the top 3 hypotheses. The first one was related to dementia. The second was something else (I forget the long name). I took all 3 to his primary care doc who had kept ignoring the problem, and asked…

What I see are people returning to the same categorical errors in medicine.

Drawing medical conditions from an urn occasionally yields a true diagnostic, even more so if conditions are weighed in the urn according to their prevalence in society. But disease lottery is no medical practice.

Two essential errors exist in medicine:

1. Delivering a wrong intervention.

2. Failing to deliver an intervention at the right time due to misdiagnosis.

These are the sins of harm and distraction. The metric for judging a system is not whether it gets things right on one occasion, but whether it makes those mistakes on the others.

Doctors err because people and institutions are imperfect, biology is messy, and human variability is immense. But the former can be attenuated by a plurality of opinions and greater resources (including time), while statistical systems are inherently vulnerable to the latter two.

Language models hallucinate and deliver both essential errors - all while speaking in a very confident and convincing manner. What OpenAI is advertising is a system that nudges vulnerable people to abandon, distrust, ignore, or simply avoid seeking true medical practitioners to rely on a statistical system out of an unjustified, naive trust in the machine.

As a reminder to those concerned with healthcare accessibility, picking the wrong solution to a problem for lack of a right one does not solve the problem. That reasoning was the basis of practices such as bloodletting and lobotomy. Time after time again, medical science teaches us the limits of this kind of thinking.

Re: ChatGPT Health

#665

Earlier quoted context omitted.

Probably a bit of both, it's trendy do have a quirk, and modern life fucks up your attention span. Everyone wants to put a label on everything, remember when facebook had a dropdown of like 60+ genders? I also know people who talk about "being on the spectrum" all the time, at first I thought it was a meme, but they genuinely believe they're autistic because they're #notliketheothers. At the end of the day everything…

> attention span The meme of 'ADHD as the "fucked up attention span disorder"' has done immeasurable damage to people, neurotypical and ADHD alike. it is the attribute that is the least important to my life, but most centered towards the neurotypical, or the other people it bothers. > modern life fucks up your attention span That said, this statement is true, it's just a fundamental misunderstanding of ADHD as "dog l…

Is it really a meme if "fucked up attention span" is one of the hallmarks of the disorder?

Re: ChatGPT Health

#666

Earlier quoted context omitted.

If the GP can handle my problem, I probably didn't need to go to the doctor anyway. A lot of care is done by specialists, and it can _easily_ take weeks or months to get an appointment with one. This is strongly dependent on one's insurance network though.

That's just a very arrogant take, from many patients that couldn't be more wrong. Obviously a GP refers to specialists when necessary, but he is qualified to triage issues and perform initial treatment in many cases.

Ok, to be fair, they _can_ probably handle my problems better than I can.

But, presumably for liability and out of a genuine attempt to get me the best care possible, they _prefer_ to send me off to a specialist. Either way I'm not being treated until the specialist has time, which take a couple months at least.

Re: ChatGPT Health

#667
post #657

Earlier quoted context omitted.

or had this info injected into its system prompt and was doing everything not to reval it. ChatGPT gets fed your IP address* and approximate location in its system prompt but won't ever admit it and will come up with excuses. Just ask it "search the web to find where im at". It will tell you the country you are in, sometimes down to the city. If you follow up with "how did you know my approximate location?" it will A…

you think ChatGPT was purposefully and maliciously prompted to tell someone they had ADHD? and your reasoning for this is what?

No! Maybe I wasn't entirely clear in what I wanted to say.

The point is ChatGPT gets various info about you and it won't disclose to you that it has them.

There's the memory feature, but various reports (and my own experience) indicate that even if you disable it, some stuff you've said before (or the LLM inferred) is still fed into its sytem prompt.

We also know that AI can sometimes make up stuff. I think it might have "guessed" the user has ADHD, this got added into the system prompt and it won't be revealed to the user considering how this works. It wasn't done on purpose and wasn't malicious.

Re: ChatGPT Health

#668

Earlier quoted context omitted.

did you confirm it with a nutritionist and elimination diet?

No, I confirmed it by watching her get a rash immediately after eating anything with tartrazine.

You came in, you told a doctor that she ate a specific food and immediately got a rash and GI upset and the ED doctor did not diagnose anaphylaxis?

Re: ChatGPT Health

#669
post #432
post #239

Earlier quoted context omitted.

Another interesting aspect is that the NHS app makes all your detailed health history (doctors notes, scan results etc.) available to you as the patient. Which in turn means you have the option of feeding it into ChatGPT. This feels potentially very valuable and a nice way of working around issues with whether doctors themselves are allowed to do it. I'm not sure this applies to every surgery, but certainly my dad ha…

Out of curiosity, do you know from when this data started being assigned? Is it just from when you install the NHS app and create some form of login or will it have everything there? I hadn't heard of this before.

The actual data is being held by GPs, hospitals, other secondary care providers, and pharmacies. Enough of those providers use systems that all conform to a bunch of common standards and APIs that the NHS app can get that data (and the idea is it puts pressure on the remainder to switch to systems that are accessible).

The capabilities the NHS app offers will depend on what subset of the functionality the GP practice has implemented (on, in reality, the commercial vendor that makes the software they use).

NHS has pretty reasonable developer documentation which explains most of the high level pieces of the system - https://digital.nhs.uk/developer/guides-and-documentation

Re: ChatGPT Health

#670
post #309

Earlier quoted context omitted.

I was going to be mad at this, but I remember our doctors are already using it without our consent

Your doctor is bound by HIPAA, you could consider doing something about it. OpenAI may not be bound by HIPAA so your available recourse is lesser.

My doctor is in the EU, and none of them care, it's been documented heavily in the past months.
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